Lumbar Radiofrequency Ablation

How RFA Works

RFA targets sensory nerves transmitting pain signals from the facet joints in the spine. By delivering controlled heat to these nerves, the procedure disrupts pain signals sent to the brain, reducing discomfort. The procedure can treat pain in the cervical (neck), thoracic (mid-back), or lumbar (lower back) regions, depending on the source of the pain.

Understanding Facet Joint Pain

Facet joints, located on the back of each spinal vertebra, are crucial for spine movement. These joints can become inflamed or injured, causing pain that may radiate to the neck, back, shoulders, buttocks, or upper legs. Symptoms often include difficulty moving, muscle spasms, and tenderness in the affected area.

Types of RFA Procedures

1. Pulsed Radiofrequency (PRF):A needle is heated to 107°F, delivering short bursts of current for precision.
2. Continuous Radiofrequency (CRF):A needle heated between 140°F and 176°F creates a continuous current to generate a heat lesion.
3. Water-Cooled Radiofrequency (WCRF):A specialized needle maintains a temperature of 140°F using water to create larger lesions while minimizing overheating.

These techniques focus on:

• Medial branch ablationfor facet joint pain.
• Lateral branch ablationfor sacroiliac joint pain.

Preparing for the Procedure

Before your appointment:

• Avoid eating or drinking for at least six hours before the procedure.
• Stop taking aspirin or blood-thinning medications as instructed.
• Wear comfortable clothing and avoid jewelry.
• Arrange for someone to drive you home after the procedure.

Patients with heart conditions, diabetes, or those on blood-thinning medications may require additional medical clearance.

What to Expect During the Procedure

The RFA procedure takes 20-30 minutes and is performed under mild sedation for comfort.

1. You will lie on your stomach or side.
2. The doctor will numb the treatment area with a local anesthetic.
3. Using X-ray guidance, a specialized needle will be inserted near the affected nerve.
4. Controlled heat will be applied to create a heat lesion, disrupting pain signals.

TestimonialsWhat Our Client Says

★ ★ ★ ★ ★I feel happy with the treatment. The doctors give me a lot of confidence. They treated me and injected my lumbar spine. And I am much better from the pain. Thank you

Zeneida Presinal

★ ★ ★ ★ ★The whole team is friendly and approachable. The doctors is caring, very smart. Very reliable team You won’t regret your visit because they’ll make sure that your pain is gone.

Gabriel Malakov

★ ★ ★ ★ ★The doctor and his assistant are very helpful. I like their treatment because it works, and my pain also relief after medication. I would highly recommend him to others.

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Recovery and Aftercare

After the procedure:

• Rest for the remainder of the day.
• Ice the injection site for 15-20 minutes every few hours to reduce swelling.
• Avoid strenuous activity, lifting heavy objects, or using heat packs.
• Pain relief typically begins within 10 days, with full effects in 1-3 weeks.

Most patients can resume normal activities within a few days, but physical therapy may be recommended to restore strength and mobility.

Benefits and Risks of RFA

Benefits:

• Long-lasting pain relief.
• Improved mobility and quality of life.
• Reduced reliance on pain medications.
• Minimally invasive with same-day discharge.

Risks:

While RFA is generally safe, potential side effects include temporary swelling, bruising, or increased pain at the injection site. Rare complications include infection or damage to nearby nerves or blood vessels.

Is RFA Right for You?

RFA is often recommended for patients who experience significant pain relief from a diagnostic nerve block. If you suffer from chronic pain and other treatments have been ineffective, RFA could be the solution you’ve been seeking.